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| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
|  |  |  |  |  |  |  |  |  |  |  |  |  |
| Portland, Oregon |   | on |   |  |   | on behalf of |   | WHL Management LLC |    | . |    |   |
| (Out of State Location) |   |  |   | (Date of Delivery) |   |  |   | (Name of Seller) |    |  |    |  |

  




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| --- | --- | --- | --- | --- | --- | --- | --- | --- |
|  |  |  |  |  |  |  |  |  |
| Signed |    |  |    |   |    |  |    |   |
|  |    | (Signature of Person Making Delivery) |    | (Date) |    |  |    |  |

  




|  |  |  |  |  |
| --- | --- | --- | --- | --- |
|  |  |  |  |  |
| Capacity |   |  |    |   |
|  |   | (Salesman - Agent - Employee - Partner) |    |  |